| NPI | 1235958877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ZAVALA Nurse Practitioner 575-644-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |